Organization · Type 2 NPI

Faculty Physicians and Surgeons of Llusm

Transplant Surgery Physician · Las Vegas, NV

NPI number 1124560214 Active

Practice location

2020 Wellness Way, Ste 506
Las Vegas, NV 89106-4145

Fax (909) 651-4586

Mailing address

File # 54701
Los Angeles, CA 90074-4701

Other practice locations

  • 2020 Goldring Ave, Suite 506, Las Vegas, NV 89106-4000 · (909) 558-3636

Specialties and licenses

TaxonomyCodeLicense
Transplant Surgery Physician Primary 204F00000XNone listed
Hepatology Physician 207RI0008XNone listed
Transplant Hepatology Physician 207RT0003XNone listed
Physician Assistant 363A00000XNone listed
Surgical Physician Assistant 363AS0400XNone listed
Nurse Practitioner 363L00000XNone listed

Transplant Surgery Physician: A surgeon who specializes in transplant surgery.

4 other providers at this address

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About NPI 1124560214

Faculty Physicians and Surgeons of Llusm's National Provider Identifier is 1124560214, issued on Nov 7, 2016. The primary taxonomy on file is Transplant Surgery Physician (204F00000X), and the practice location is in Las Vegas, NV. The record was last updated on Jul 19, 2019.